Covid 5/13/20

I want to highlight a point made in yesterday must watch/read – https://www.hsgac.senate.gov/covid-19-how-new-information-should-drive-policy

2:45 Dr. Kory highlights the fact the virus is at least 2 stage. First stage is the viral replication – this is where it gets into your soft tissue and replicates and you get your sore throat fever etc…all outpatient issues – the next stage is the inflammation stage this is where you visit the hospital. He notes both HCQ and Remdesivir needs to be take before the hospital and makes no sense to analyze and dose those in the second stage. Of course his solution was discussed yesterday – MATH+

Gilead Science strikes a licensing agreement with 5 generic drugmakers – “royalty-free” –https://www.cnbc.com/2020/05/12/remdesivir-coronavirus-treatment-gilead-strikes-deal-to-make-drug-in-127-countries.html

What is not clear is if they force a set price? $1000/dose – previously – can these companies have free will to charge what they believe is fair? 10 day treatment via IV.

Interesting to realize around ½ of Sweden death could be attributed to poor care at nursing home – which cannot directly be attributed to covid-19 policy approach. In fact it looks like significant negligence could be the issue https://www.thejakartapost.com/news/2020/05/12/sweden-adjusts-controversial-covid-19-plan-after-care-homes-crisis.html

“Sweden said prosecutors had started an investigation into the high death rate at a care home. Half of those over 70 years old who have died from COVID-19 in Sweden lived in nursing homes, according to national statistics at the end of April. As of Monday, the country had registered 3,256 COVID-19 related deaths.”

If reduce the deaths by half they are much closer to their neighboring states but still higher in terms of death/capita and death/confirmed. As compared to overall Europe they would be below the middle of the pack with the adjusted metric. This highlights a place where other countries can do better than Sweden IF they choose their approach.

US below 2K. Brazil surpass UK in deaths.

Il is leading in confirmed cases now.

Open states death not changing too much. Confirmation slightly up but not near previous peaks – but confirmation shouldn’t be the focus – death should be and if we have better treatments now it will be less concerning as noted by Dr. Kory in the testimony.

NY is a clear outlier in the covid-19 issue. NY now under 10% confirmed per those tested.

Sweden testing data looks to have gotten revised dropping their death/testing back down below France. Brazil and Mexico still look alarming.

Brazil is now highest daily death change on 7 day moving average only – behind UK – IF US states are broken out as countries vs. aggregated.